Individual
JENITA L GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUDIOLOGY
Contact information
Practice address
4736 BRYANT IRVIN RD, SUITE 702, FORT WORTH, TX 76132-3625
(817) 263-1971
(817) 263-2365
Mailing address
4736 BRYANT IRVIN RD, SUITE 702, FORT WORTH, TX 76132-3625
(817) 263-1971
(817) 263-2365
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50726
TX LICENSE
TX
Enumeration date
02/27/2009
Last updated
02/27/2009
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